Summary
Spasm of the descending colon co-existing with spasm of both, the proximal and the distal ends of the appendix was observed in a highly neurotic young adult.
Spasm along both ends of the appendix resulted in a diverticulum-like sacculation of the non-spastic, relaxed middle portion of the vermiform appendix, a morphological appearance hitherto often not described.
The characteristic X-ray picture as observed during the painful period, with a complete restoration to normal, in a free interval, prove conclusively, that the changes described were purely of functional origin.
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Galambos, A. Functional changes of the vermiform appendix producing diverticular sacculation of the spastically contracted organ. American Journal of Digestive Diseases and Nutrition 3, 412–415 (1936). https://doi.org/10.1007/BF02999163
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DOI: https://doi.org/10.1007/BF02999163